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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO .iOX 2x0601
HARRISBUR& PA 17128-0601
INHERITANCE TAX
•,,,},, ~, , RECORD:ADJUSTMENT
~~~ ~ ;~ ~~.~'Q~]~~~.~IELD, OR TRUST ASSETS
~~~a.r~H ~ i ~~ ~ s
~~
~~"~.
~~~~ tJRT
GRE60RY J GEIBEL ~ ~~~. PA,
809 HANDY LN
CAMP HILL PA 17011
penns~tvania ~
DEPARTMENT OF REVfNUE
REV-1604 EX AFP C12-09)
DATE 06-04-2010
ESTATE OF GEIBEL BETTY J
DATE OF DEATH 12-24-2007
FILE NUMBER 21 08-0190
COUNTY CUMBERLAND
SSN/DC
ACN 08107775
Ap~aunt Ri~ittod
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1604 EX AFP X12-09)
** INNERI~TANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *~
DATE: 06-04-2010
ESTATE 0'F: GEIBEL BETTY J DATE OF DEATH: 12-24-2007 COUNTY: CUMBERLAND
FILE NO.: 21 08-190 S.S/D.C.
ecN~ nA~n~~~~
ADJUSTMENT BASSO ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL I NST'I TUT I ON : MEMBERS i sT FCU ACCOUNT NO .: 206337 - 00
TYPE OF ACCOUNT: C ~ SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED ''06-19-2001
Account Balance
Percent Taxable
Amount Subject to' Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.500
.00
.00
.00
X .045
~_
.00
NOTE: TO ENSURE PROPER CREDIT TO YOUR
ACCOUNT, SUiMIT THE UPPER PORTION
OF THIS NOTICE WITH YDUR TAX
PAYMENT TO THE REGISTER OF WILLS
AT THE ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY DRDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
PAYMENT
DATE ',RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DiJE
IF PAID AFTER THIS BATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A
''CREDIT'' CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
i
~ INHERITANCE TAX
RECORD ADJUSTMENT per~nsylvania
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1604 EX AFP C12-09)
PO ~( 2dt601
HARRISdUR6 PA 17128-0601
DATE 06-04-2010
ESTATE OF GEIBEL BETTY J
DATE DF DEATH 12-24-2007
FILE NUMBER 21 08-0190
COUNTY CUMBERLAND
GREGORY J GEIBEL SSNfDC 250-40-6846
ACN D8107776
809 MANDY LN
AMOUnt Rowittod
CAMP HILL PA L7011
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LANE ~- RETAIN LOWER PORTION FOR YOUR RECORDS !~
__...
REV•1684 EX AFP X12.09)
a* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
TE: 06-04-2010
ESTATE OF: GEIBEL BETTY J DATE OF DEATH: 12-24-2007 COUNTY: CUMBERLAND
FILE NO.: 21 08-p-.190. S.S/D.C. N0.:250-40-6846 ACN: 08107776
ADJUSTMENT BAS D ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: :MEMBERS 1sT FCU ACCOUNT N0.:206337-11
TYPE OF ACCOUNT:. C ) SAVINGS CX) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED '06-19-2001
Account Balance
Percent Taxable
Amount Subject toy Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.500
.00
.00
.00
X .045
.00
NOTE: TO ENSURE PROPER CREDIT TO YOUR
ACCOUNT, SUBMIT THE UPPER PORTION
OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS
AT THE ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
TO: "REGISTER OF WILLS, ACENT.°
PAYMENt
DATE '.RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE Of TAX DU
INTEREST AND PEN.
TOTAL DUE
iF PAID AFTER THIS PATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A
"CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
REV-7470 El~(01-10)
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pr~r~s~~.~v~.~t~t~ INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATIGIN
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Ebx 280601
DECEDENTS NAME ' FILE NUMBER
Beaty J. Geibel 2108-1)1!90
REVIEWED BY ACN
Eunice Baker 08107775, 0810"776
ITEM
SCHEDULE Np,
T'h~ above accounts have been
retwrn.
EXPLANATION OF CHANGES
djusted to zero as they were re~rted on the probate
Row
Rage 1